de Ramón Ignacio, Pacios Javier, Medina Rafael, Bouhaben Jaime, Cuesta Pablo, Antón-Toro Luis, Quintero Javier, Quiroga Antoni Ramos, Maestú Fernando
Sincrolab, Ltd, Madrid 28033, Spain.
Department of Experimental Psychology, Complutense University of Madrid, Madrid 28040, Spain.
Brain Commun. 2022 Feb 17;4(2):fcac038. doi: 10.1093/braincomms/fcac038. eCollection 2022.
The changes triggered by pharmacological treatments in resting-state alpha-band (8-14 Hz) oscillations have been widely studied in attention deficit hyperactivity disorder. However, to date, there has been no evidence regarding the possible changes in cognitive stimulation treatments on these oscillations. This paper sets out to verify whether cognitive stimulation treatments based on progressive increases in cognitive load can be effective in triggering changes in alpha-band power in attention deficit hyperactivity disorder. With this objective, we compared a cognitive stimulation treatment ( = 12) to a placebo treatment ( = 14) for 12 weeks (36 sessions of 15 min) in child patients (8-11 years old) with attention deficit hyperactivity disorder. Two magnetoencephalographic recordings were acquired for all participants. In order to extract the areas with changes in alpha power between both magnetoencephalographic recordings, the differences in the power ratio (pre/post-condition) were calculated using an analysis of covariance test adjusted for the age variable. The results show an increase in the post-treatment alpha power in the experimental group versus the placebo group ( < 0.01) in posterior regions. In addition, these changes were related to measures of attention, working memory and flexibility. The results seem to indicate that cognitive stimulation treatment based on progressive increases in cognitive load triggers alpha-band power changes in children diagnosed with attention deficit hyperactivity disorder in the direction of their peers without this disorder.
药物治疗引发的静息态α波频段(8 - 14Hz)振荡变化在注意力缺陷多动障碍中已得到广泛研究。然而,迄今为止,尚无关于认知刺激治疗对这些振荡可能产生的变化的证据。本文旨在验证基于认知负荷逐步增加的认知刺激治疗是否能有效引发注意力缺陷多动障碍患者α波频段功率的变化。为实现这一目标,我们对患有注意力缺陷多动障碍的儿童患者(8 - 11岁)进行了为期12周(36节,每节15分钟)的认知刺激治疗(n = 12)与安慰剂治疗(n = 14)的比较。为所有参与者进行了两次脑磁图记录。为了提取两次脑磁图记录之间α波功率发生变化的区域,使用针对年龄变量进行调整的协方差分析测试计算功率比(治疗前/治疗后)的差异。结果显示,与安慰剂组相比,实验组治疗后脑后部区域的α波功率增加(p < 0.01)。此外,这些变化与注意力、工作记忆和灵活性的测量指标相关。结果似乎表明,基于认知负荷逐步增加的认知刺激治疗会使被诊断患有注意力缺陷多动障碍的儿童的α波频段功率朝着未患该障碍的同龄人方向发生变化。